Workshop Registration Form:
REGISTRATION CLOSED - SOLD OUT
|CHIMNEY ROCK POTTERY WORKSHOP ~ 07/29/16 - 07/31/16|
|City State Zip:|
|E mail: please print clearly|
|Clay experience/ability level:|
|How did you learn about this course?|
|Event T-shirts will be for sale at workshop:||
M L XL :circle size(s) to reserve T shirts
Full fee required at time of registration
Check, Money Order
Print, fill in,
sign and mail this form with your payment. Sorry email registrations are not
Note: PayPal users are required to complete and mail-in registration forms within 10 days of payment.**
Waiver /Disclaimer: As a participant
I am at least 18 years of age and understand that I am solely responsible for
any illness or injuries that I may incur during the workshop and that I am
responsible for all resulting medical costs or other expenses. Ancient Arts®
has permission to use any photos taken of me during the workshop for educational
or promotional purposes.
REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE
tuition is refundable less a $50.00 administration fee if written
cancellation notice is emailed or postmarked 45 days prior to the
scheduled workshop. After that time it is non-refundable unless the workshop is
canceled or your space can be resold.
Any non-refundable unused tuition may be applied toward a future workshop.
** If using PayPal Payment Option your workshop space will be held for business 10 days, however, your registration is not complete until your signed hard copy registration form is received through U.S. mail. If it has not been received within 10 business days you may forfeit your space.
Lodging and meals are not provided. Limit one non-participant companion (observer) per paid registrant. No children or pets please.
Upon receipt of the registration form and
payment, you will receive an email confirmation.
Approx. 30 days before event, a course schedule and other related workshop information will be emailed to you as it becomes available.
We look forward to seeing you this summer...
Please make check payable to: Gregory Wood
Mail completed registration form and payment to:
Ancient Arts® P.O. Box 27 Masonville, CO 80541